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GEN-001 (Live Biotherapeutic Product) and Avelumab Combination Study for Patients With Solid Tumors Who Have Progressed on Anti-PD-(L)1 Therapy

Primary Purpose

Solid Tumor, Non Small Cell Lung Cancer, Squamous Cell Carcinoma of Head and Neck

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
GEN-001
Avelumab
Sponsored by
Genome & Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumor

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Have adequate organ functions as defined in the protocol
  • Negative childbearing potential
  • Have ability to swallow and retain oral medication and no clinically significant gastrointestinal abnormalities
  • Patients with diseases for which no curative therapies are available, and who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination)
  • Disease progression on anti-PD-(L)1 based therapy (as monotherapy or combination therapy) and must meet criteria for acquired resistance as defined in the protocol
  • Patients who have completely recovered from any clinically significant AEs that occurred during prior immunotherapy
  • Estimated life expectancy of at least 3 months
  • Objective evidence of disease progression at baseline (Dose Escalation)
  • Histologically or cytologically confirmed, unresectable, locally advanced, or metastatic NSCLC, SCCHN, and UC (Dose Expansion)
  • Measurable disease as per RECIST v1.1 defined as at least 1 lesion (Dose Expansion)

Exclusion Criteria:

  • Have experienced primary resistance to anti-PD-(L)1 based therapy
  • Has experienced a toxicity that led to permanent discontinuation of prior anti-PD-(L)1 based therapy or other immunotherapies
  • Has active autoimmune disease that has required systemic treatment in the past 2 years
  • Current use of immunosuppressive medication at time of study entry
  • Have an active infection requiring antibiotics, antifungal or antiviral agents or have received a course of antibiotics within the previous 4 weeks of starting study treatment
  • Has received a live vaccine within 4 weeks of starting of study treatment
  • Known history of, or any evidence of active, non-infectious pneumonitis
  • Prior solid organ or allogeneic stem cell transplantation
  • Has had any investigational or anti-tumor treatment within 4 weeks or 5 half-life periods of starting study treatment, had any major surgeries within 4 weeks of starting study treatment
  • Has received proton pump inhibitors (PPIs) within 2 weeks prior to dosing study treatments
  • Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
  • Has clinically significant (i.e., active) cardiovascular disease
  • Has known history of uncontrolled intercurrent illness
  • Has any psychiatric condition that would prohibit the understanding or rendering of informed consent or that would limit compliance with study requirements.

Sites / Locations

  • Yale Cancer Center
  • Emory University Winship Cancer Institute
  • Oregon Health & Science University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

GEN-001 with avelumab

Arm Description

Dose Escalation Cohort includes patients with advanced or metastatic solid tumors who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination) will be enrolled. 3 or 6 patients will be enrolled per escalating or de-escalating dose levels. Dose Expansion Cohort includes patients with advanced or metastatic NSCLC, SCCHN, and UC who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination)will be enrolled.

Outcomes

Primary Outcome Measures

Dose Escalation: Incidence of Adverse Events
Assessed as per CTCAE v5.0
Dose Escalation: Incidence of Laboratory abnormalities
Assessed as per CTCAE v5.0
Dose Escalation: Incidence of dose-limiting toxicity (DLT)
To evaluate the safety and tolerability of GEN-001 in combination with avelumab
Dose Expansion: To assess objective response (OR) of GEN-001 in patients with advanced or metastatic solid tumors, when administered as combined with avelumab.
Confirmed OR per RECIST v1.1 by the Investigator

Secondary Outcome Measures

Objective Response (OR)
Assessed according to RECIST v1.1
Duration of response (DoR)
Assessed according to RECIST v1.1
Progression-free survival (PFS)
Assessed according to RECIST v1.1
Overall Survival (OS)
Incidence of Adverse Events
Assessed as per CTCAE v5.0
Incidence of Laboratory Abnormalities
Assessed as per CTCAE v5.0
irOR (Immune-related Objective Response)
Assessed according to irRECIST

Full Information

First Posted
October 13, 2020
Last Updated
August 6, 2023
Sponsor
Genome & Company
Collaborators
Merck KGaA, Darmstadt, Germany, Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT04601402
Brief Title
GEN-001 (Live Biotherapeutic Product) and Avelumab Combination Study for Patients With Solid Tumors Who Have Progressed on Anti-PD-(L)1 Therapy
Official Title
A Phase I/Ib Study to Evaluate the Safety, Tolerability, Biological and Clinical Activities of GEN-001 in Combination With Avelumab in Patients With Advanced Solid Tumors Who Have Progressed During or After Treatment With Anti-PD-(L)1 Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
October 26, 2020 (Actual)
Primary Completion Date
January 11, 2023 (Actual)
Study Completion Date
January 11, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genome & Company
Collaborators
Merck KGaA, Darmstadt, Germany, Pfizer

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a phase I/Ib, first-in-human (FIH), open-label, dose escalation and dose expansion study to evaluate the safety and tolerability, biological and clinical activities of GEN-001 in patients with locally advanced or metastatic solid tumors who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination), when administered as combined with avelumab.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumor, Non Small Cell Lung Cancer, Squamous Cell Carcinoma of Head and Neck, Urothelial Carcinoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Dose Escalation: Seqeuntial Group Assignment, Dose Expansion: Parallel Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
11 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GEN-001 with avelumab
Arm Type
Experimental
Arm Description
Dose Escalation Cohort includes patients with advanced or metastatic solid tumors who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination) will be enrolled. 3 or 6 patients will be enrolled per escalating or de-escalating dose levels. Dose Expansion Cohort includes patients with advanced or metastatic NSCLC, SCCHN, and UC who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination)will be enrolled.
Intervention Type
Drug
Intervention Name(s)
GEN-001
Intervention Description
The capsules taken by mouth once a daily. Each capsule will contain ≥ 1x10^11 colony-forming units (CFU)
Intervention Type
Drug
Intervention Name(s)
Avelumab
Other Intervention Name(s)
Bavencio
Intervention Description
800 mg given by intravenous (IV) infusion once every 2 weeks
Primary Outcome Measure Information:
Title
Dose Escalation: Incidence of Adverse Events
Description
Assessed as per CTCAE v5.0
Time Frame
1 years
Title
Dose Escalation: Incidence of Laboratory abnormalities
Description
Assessed as per CTCAE v5.0
Time Frame
1 years
Title
Dose Escalation: Incidence of dose-limiting toxicity (DLT)
Description
To evaluate the safety and tolerability of GEN-001 in combination with avelumab
Time Frame
1 Cycle (one cycle = 28 days)
Title
Dose Expansion: To assess objective response (OR) of GEN-001 in patients with advanced or metastatic solid tumors, when administered as combined with avelumab.
Description
Confirmed OR per RECIST v1.1 by the Investigator
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Objective Response (OR)
Description
Assessed according to RECIST v1.1
Time Frame
1 years
Title
Duration of response (DoR)
Description
Assessed according to RECIST v1.1
Time Frame
up to 2 years
Title
Progression-free survival (PFS)
Description
Assessed according to RECIST v1.1
Time Frame
up to 2 years
Title
Overall Survival (OS)
Time Frame
up to 2 years
Title
Incidence of Adverse Events
Description
Assessed as per CTCAE v5.0
Time Frame
up to 2 years
Title
Incidence of Laboratory Abnormalities
Description
Assessed as per CTCAE v5.0
Time Frame
up to 2 years
Title
irOR (Immune-related Objective Response)
Description
Assessed according to irRECIST
Time Frame
up to 2 years
Other Pre-specified Outcome Measures:
Title
Ctrough
Description
Ctrough for PK parameter
Time Frame
up to 2 years
Title
ADA
Description
Anti-Drug Antibodies(ADA) for Immunogenicity
Time Frame
up to 2 years
Title
Microbiota
Description
fecal samples will be collected for analysis
Time Frame
up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Have adequate organ functions as defined in the protocol Negative childbearing potential Have ability to swallow and retain oral medication and no clinically significant gastrointestinal abnormalities Patients with diseases for which no curative therapies are available, and who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination) Disease progression on anti-PD-(L)1 based therapy (as monotherapy or combination therapy) and must meet criteria for acquired resistance as defined in the protocol Patients who have completely recovered from any clinically significant AEs that occurred during prior immunotherapy Estimated life expectancy of at least 3 months Objective evidence of disease progression at baseline (Dose Escalation) Histologically or cytologically confirmed, unresectable, locally advanced, or metastatic NSCLC, SCCHN, and UC (Dose Expansion) Measurable disease as per RECIST v1.1 defined as at least 1 lesion (Dose Expansion) Exclusion Criteria: Have experienced primary resistance to anti-PD-(L)1 based therapy Has experienced a toxicity that led to permanent discontinuation of prior anti-PD-(L)1 based therapy or other immunotherapies Has active autoimmune disease that has required systemic treatment in the past 2 years Current use of immunosuppressive medication at time of study entry Have an active infection requiring antibiotics, antifungal or antiviral agents or have received a course of antibiotics within the previous 4 weeks of starting study treatment Has received a live vaccine within 4 weeks of starting of study treatment Known history of, or any evidence of active, non-infectious pneumonitis Prior solid organ or allogeneic stem cell transplantation Has had any investigational or anti-tumor treatment within 4 weeks or 5 half-life periods of starting study treatment, had any major surgeries within 4 weeks of starting study treatment Has received proton pump inhibitors (PPIs) within 2 weeks prior to dosing study treatments Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis Has clinically significant (i.e., active) cardiovascular disease Has known history of uncontrolled intercurrent illness Has any psychiatric condition that would prohibit the understanding or rendering of informed consent or that would limit compliance with study requirements.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shivaani Kummar, MD
Organizational Affiliation
Oregon Health and Science University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Yale Cancer Center
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States
Facility Name
Emory University Winship Cancer Institute
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Oregon Health & Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

GEN-001 (Live Biotherapeutic Product) and Avelumab Combination Study for Patients With Solid Tumors Who Have Progressed on Anti-PD-(L)1 Therapy

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